Compliance Blog - R.J. Hedges & Associates

Jenny Schell

Jenny is a Board Certified DME Specialist and for the last 8 years has assisted independent pharmacies, home health care facilities, medical supply companies, physicians and small healthcare practices in choosing the best comprehensive customized healthcare compliance and consulting services they require.

In order to stay competitive, many businesses are turning to offshore companies as a way to cut costs while still providing tech support, customer service, billing processes, and more. Consider your contracted companies with which you have signed a business associate agreement (BAA); could any of them be utilizing offshore workforces?

Applying for a Medicare number, commonly known as a PTAN (Provider Transaction Access Number), can be incredibly beneficial and difficult for Independent Pharmacies. This application can lead to more profits and allow for better patient care for senior patients but can also drive pharmacists crazy; the enrollment process can be lengthy, it can be challenging to determine which application to submit and confusing which sections to complete.

A Medicare number or a PTAN (Provider Transaction Access Number) is essential for independent pharmacies, but the enrollment process can take months and many pharmacists have trouble navigating the complicated forms.

Can every pharmacist give immunizations? What are the restrictions and license requirements? How do you bill for immunizations? Who can administer vaccines in the pharmacy? How can I improve my pharmacy business by doing immunizations? Why should I do travel vaccines?

Applying for a Medicare number, also known as PTAN, can be time-consuming, confusing and quite daunting as there are almost 50 pages in the CMS 855B alone! First, you need to determine which application needs completed based on the services you hope to offer. Then the next challenge is to determine which sections need completed. Are there additional forms to complete, what extra documents need included, how and where to submit payment? Then the longest part, waiting to see if you have been approved or denied!

Our experts at R.J. Hedges & Associates have an all-new podcast for you! This podcast will highlight the three key elements to DEA Documentation from our very own Jeffery Hedges, and Carlos Aquino, a retired DEA Diversion Agent so that your pharmacy can better prepare for DEA inspections.

Our experts here at R.J. Hedges & Associates have an all new podcast for you on Durable Medical Equipment Specialist Certification! Brought to you by our own Jeff Hedges, this blog will help you learn the language of DME so that you learn how to dispense, document, and most importantly earn revenue!

Once you are done listening to our blog click here for more information!

Part of the Medicare Part D program involves ensuring pharmacies properly train their staff. Pharmacy Benefit Managers have the ability to manage the program, enforcing Fraud, Waste & Abuse Training, OIG Exclusion Verification, and HIPAA Compliance Training. Every fall the staff must verify that they accomplished these requirements. Unfortunately, many pharmacies sign the attestations even though they did not complete the training.